NPI | 1285193375 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: AZ 76868) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NM MD2024-0234) |
207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: NM MD2024-0234) | |
Enumeration Date | 2019-03-18 |
Last Update Date | 2025-08-18 |