NPI | 1215226436 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: WI 57576-20) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: TX Q7902) |
Enumeration Date | 2011-03-29 |
Last Update Date | 2022-07-21 |