NPI | 1194881011 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MI PY038356) |
Additional Taxonomies | 174400000X Specialist (Licence: MI PY038356) |
Enumeration Date | 2006-12-28 |
Last Update Date | 2023-02-23 |