NPI | 1487065603 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NC 2021-02494) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MD UMP) |
Enumeration Date | 2014-05-09 |
Last Update Date | 2021-11-09 |