NPI | 1295758365 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NE 29753) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: KS 04-25519) |
Enumeration Date | 2006-07-26 |
Last Update Date | 2024-08-16 |