NPI | 1376545079 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: FL ME88105) |
Additional Taxonomies | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: NY 232110) |
207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: FL ME 88105) | |
Enumeration Date | 2005-08-11 |
Last Update Date | 2024-09-27 |