NPI | 1487278297 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MN 70230) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MN 30729) |
207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: GA 104474) | |
Enumeration Date | 2020-06-08 |
Last Update Date | 2025-06-11 |