NPI | 1528129335 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: VA 0101252498) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: FL TRN10212) |
207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: PA MD443788) | |
207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: NY 260774) | |
Enumeration Date | 2006-12-13 |
Last Update Date | 2022-11-23 |