NPI | 1689711160 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MD D0055541) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: VA 0101224093) |
207X00000X Orthopaedic Surgery (Licence: DC MD32151) | |
Enumeration Date | 2007-01-31 |
Last Update Date | 2022-01-24 |