NPI | 1356513253 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NC 2009-02020) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: TN 51359) |
Enumeration Date | 2008-03-31 |
Last Update Date | 2021-08-12 |