NPI | 1285837641 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: WI 62077-21) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MI 5101015310) |
Enumeration Date | 2007-06-06 |
Last Update Date | 2020-12-18 |