NPI | 1346760089 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: TX U5985) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: TX BP10059623) |
Enumeration Date | 2017-06-23 |
Last Update Date | 2023-08-07 |