NPI | 1487159620 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: GA 100920) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: AZ 69163) |
Enumeration Date | 2018-03-29 |
Last Update Date | 2025-02-27 |