NPI | 1245232438 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: MD D16752) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MD D16752) |
Enumeration Date | 2005-06-01 |
Last Update Date | 2023-11-27 |