NPI | 1194797829 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: OH 35049985l) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: KY 23944) |
Enumeration Date | 2006-02-06 |
Last Update Date | 2020-10-21 |