NPI | 1518226059 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: OH 35.133339) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: KY 51487) |
Enumeration Date | 2012-05-03 |
Last Update Date | 2022-07-21 |