NPI | 1255712741 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: WI 22741) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NY 307847) |
Enumeration Date | 2015-06-10 |
Last Update Date | 2023-01-18 |