NPI | 1295110922 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MN 68544) |
Additional Taxonomies | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: OR MD181878) |
207X00000X Orthopaedic Surgery (Licence: CA 137749) | |
207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: MN 68544) | |
Enumeration Date | 2015-07-23 |
Last Update Date | 2022-07-21 |