NPI | 1326448770 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: WA OP61233584) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MD H91434) |
Enumeration Date | 2014-09-03 |
Last Update Date | 2023-03-29 |