NPI | 1679929871 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NY 289792) |
Additional Taxonomies | 208600000X Surgery (Licence: AZ R75527) |
Enumeration Date | 2016-05-06 |
Last Update Date | 2024-10-15 |