NPI | 1366583270 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: GA 079989) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MD D0072717) |
Enumeration Date | 2007-02-12 |
Last Update Date | 2023-08-01 |