NPI | 1639379787 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: NV 14301) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NV 14301) |
Enumeration Date | 2007-07-18 |
Last Update Date | 2021-12-20 |