NPI | 1609803477 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: LA 307337) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: GA 071493) |
207X00000X Orthopaedic Surgery (Licence: TN DO0000001192) | |
Enumeration Date | 2006-06-27 |
Last Update Date | 2019-06-11 |