NPI | 1336358787 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MD D94601) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: PA MD456232) |
207X00000X Orthopaedic Surgery (Licence: MI 4301084327) | |
207X00000X Orthopaedic Surgery (Licence: WI 3328-320) | |
Enumeration Date | 2007-05-22 |
Last Update Date | 2024-03-14 |