NPI | 1629502984 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: GA 96681) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MN 71398) |
207X00000X Orthopaedic Surgery (Licence: WI 22832) | |
Enumeration Date | 2017-04-13 |
Last Update Date | 2024-01-23 |