NPI | 1205064284 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MN 53245) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: WI 67262-20) |
207X00000X Orthopaedic Surgery (Licence: WA MD60437017) | |
207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: WA MD60437017) | |
Enumeration Date | 2009-06-29 |
Last Update Date | 2020-08-21 |