NPI | 1265827612 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MD D89106) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MA 263923) |
Enumeration Date | 2015-04-02 |
Last Update Date | 2020-06-25 |