NPI | 1467770727 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: PA MD459879) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: RI LP01852) |
207X00000X Orthopaedic Surgery (Licence: RI 14879) | |
Enumeration Date | 2010-05-12 |
Last Update Date | 2019-12-27 |