NPI | 1659435071 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: AK 5276) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: AK 5276) |
207X00000X Orthopaedic Surgery (Licence: MA 237700) | |
207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery (Licence: AK 5276) | |
Enumeration Date | 2006-12-20 |
Last Update Date | 2023-12-05 |