NPI | 1366807612 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: GA 99198) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: GA 99198) |
Enumeration Date | 2015-12-30 |
Last Update Date | 2024-08-02 |