NPI | 1457857138 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NV DO3458) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MI 5101024089) |
Enumeration Date | 2018-04-02 |
Last Update Date | 2024-11-20 |