NPI | 1518329739 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: PA MD477177) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MS 28447) |
207X00000X Orthopaedic Surgery (Licence: PA MT210399) | |
Enumeration Date | 2016-03-26 |
Last Update Date | 2022-09-14 |