NPI | 1699118208 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: MA 273932) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MA 273932) |
Enumeration Date | 2013-04-12 |
Last Update Date | 2024-09-06 |