NPI | 1417023136 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NM A586) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NM A-586-71) |
Enumeration Date | 2006-11-27 |
Last Update Date | 2025-01-19 |