NPI | 1659358091 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: SC 95473) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: AL 27539) |
Enumeration Date | 2005-12-28 |
Last Update Date | 2025-09-25 |