NPI | 1538587282 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MO 2021015043) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: KS 04-44506) |
Enumeration Date | 2014-03-31 |
Last Update Date | 2024-01-04 |