NPI | 1235756560 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MA 1023453) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MI 4351046521) |
Enumeration Date | 2020-07-02 |
Last Update Date | 2025-08-12 |