NPI | 1649763947 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: AZ 83493-20) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IL 125.071697) |
207X00000X Orthopaedic Surgery (Licence: WI 83493) | |
Enumeration Date | 2018-06-11 |
Last Update Date | 2025-05-02 |