NPI | 1548794647 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: SC 89677) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: PA MT213956) |
207X00000X Orthopaedic Surgery (Licence: NY 314949) | |
Enumeration Date | 2017-04-14 |
Last Update Date | 2023-11-08 |