NPI | 1265425508 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: LA 013618) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: LA 13618) |
Enumeration Date | 2005-08-23 |
Last Update Date | 2020-07-31 |