NPI | 1598105934 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: ND 13673) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: TX BP10034047) |
Enumeration Date | 2013-06-30 |
Last Update Date | 2020-06-22 |