NPI | 1609877463 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MI 4301500979) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: PA MD042946L) |
Enumeration Date | 2005-08-02 |
Last Update Date | 2023-12-20 |