NPI | 1407084981 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MN 59901) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MI 4301094549) |
Enumeration Date | 2009-06-23 |
Last Update Date | 2019-06-07 |