NPI | 1548793185 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: NY 315091) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NY 315091) |
Enumeration Date | 2017-04-11 |
Last Update Date | 2023-09-05 |