NPI | 1316996119 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NY 303847) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: DE C1-0003720) |
207X00000X Orthopaedic Surgery (Licence: MD D83131) | |
Enumeration Date | 2006-05-09 |
Last Update Date | 2020-05-19 |