NPI | 1467444927 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: KY 37334) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: AL 27369) |
Enumeration Date | 2005-08-19 |
Last Update Date | 2024-05-02 |