NPI | 1225241060 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: FL ME165184) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: KY 45991) |
207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: FL ME165184) | |
Enumeration Date | 2007-05-08 |
Last Update Date | 2024-11-18 |