NPI | 1285058545 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MN 64238) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MN 28376) |
Enumeration Date | 2014-02-06 |
Last Update Date | 2023-05-05 |