NPI | 1558453944 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: WA MD00017445) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: HI MD-4727) |
Enumeration Date | 2006-09-29 |
Last Update Date | 2023-09-27 |