NPI | 1225355761 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: PA MD471416) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NE 26609) |
Enumeration Date | 2010-04-23 |
Last Update Date | 2020-10-01 |