NPI | 1477888022 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NM MD2013-0023) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: ND 7776) |
Enumeration Date | 2009-10-14 |
Last Update Date | 2018-05-04 |