NPI | 1235794967 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: OH 35.150230) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: TX BP10067120) |
Enumeration Date | 2019-05-08 |
Last Update Date | 2024-06-23 |