NPI | 1467195297 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MN 75164) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MN 32576) |
Enumeration Date | 2022-04-19 |
Last Update Date | 2023-08-28 |