NPI | 1669176673 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MN 77549) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MN 33413) |
Enumeration Date | 2023-03-27 |
Last Update Date | 2024-08-09 |