NPI | 1598990277 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NC 2014-02445) |
Additional Taxonomies | 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: NC 2014-02445) |
Enumeration Date | 2009-05-25 |
Last Update Date | 2021-05-06 |