NPI | 1689964231 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: NY 267426) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NY 267426) |
Enumeration Date | 2011-04-17 |
Last Update Date | 2022-07-21 |