NPI | 1396367132 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: AL 51651) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: LA 322571) |
Enumeration Date | 2020-05-14 |
Last Update Date | 2025-09-09 |