NPI | 1447419619 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: TX Q1326) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: GA 65913) |
207X00000X Orthopaedic Surgery (Licence: SC 36201) | |
207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: TX Q1326) | |
Enumeration Date | 2008-06-03 |
Last Update Date | 2022-11-04 |