NPI | 1275760720 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NC 2024-03535) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: GA 74274) |
Enumeration Date | 2009-06-11 |
Last Update Date | 2025-02-12 |