NPI | 1467681932 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MN 59475) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: WI 63850-20) |
Enumeration Date | 2009-07-06 |
Last Update Date | 2021-03-11 |