NPI | 1477917813 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MN 71272) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: WI 1477917813) |
Enumeration Date | 2016-04-12 |
Last Update Date | 2023-03-15 |