NPI | 1235132457 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NE 19613) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: KS 04-25566) |
Enumeration Date | 2005-05-23 |
Last Update Date | 2018-10-24 |