NPI | 1376557892 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MS 20473) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: TN 17114) |
Enumeration Date | 2006-07-28 |
Last Update Date | 2020-12-30 |