NPI | 1447614227 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: FL ME155729) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MD D91304) |
Enumeration Date | 2016-04-07 |
Last Update Date | 2022-10-12 |