NPI | 1265810725 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: TX R5711) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: TX BP10054320) |
Enumeration Date | 2015-05-15 |
Last Update Date | 2024-11-01 |