NPI | 1538169727 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: OR MD23107) |
Additional Taxonomies | 207XS0114X Orthopaedic Surgery Adult Reconstructive Orthopaedic Surgery (Licence: OR MD23107) |
Enumeration Date | 2005-07-28 |
Last Update Date | 2023-01-11 |