NPI | 1639639768 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: AL 3693) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: FL OS18429) |
Enumeration Date | 2019-03-24 |
Last Update Date | 2024-07-17 |