NPI | 1437681566 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MA 1019777) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MD D97730) |
Enumeration Date | 2017-03-29 |
Last Update Date | 2024-05-29 |