NPI | 1548246309 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NY 158612) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: TX H9647) |
Enumeration Date | 2005-12-22 |
Last Update Date | 2022-10-06 |