NPI | 1538187364 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NC 2007-00773) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: SC LL24736) |
Enumeration Date | 2006-07-18 |
Last Update Date | 2022-12-05 |