NPI | 1497798375 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: OH 35-082029) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: OH 35082029) |
Enumeration Date | 2006-06-14 |
Last Update Date | 2024-08-08 |