NPI | 1356635619 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: PA MD464723) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MA 249151) |
Enumeration Date | 2011-06-04 |
Last Update Date | 2018-10-15 |