NPI | 1700049103 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MD D79199) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: GA 71264) |
Enumeration Date | 2008-07-07 |
Last Update Date | 2019-08-06 |