NPI | 1669681003 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: OH 34.009516) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: OH 58001631) |
Enumeration Date | 2007-05-22 |
Last Update Date | 2023-04-20 |