NPI | 1457328676 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: KY 39944) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: OH 35.087407) |
207X00000X Orthopaedic Surgery (Licence: IN 01071430A) | |
207X00000X Orthopaedic Surgery (Licence: TX L8355) | |
Enumeration Date | 2006-03-07 |
Last Update Date | 2024-04-11 |