NPI | 1326422171 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: GA 87543) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: GA 7557) |
207X00000X Orthopaedic Surgery (Licence: KY 53449) | |
Enumeration Date | 2015-07-10 |
Last Update Date | 2022-11-22 |