NPI | 1710249107 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CO DR.0067316) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: KS 04-41070) |
Enumeration Date | 2012-06-12 |
Last Update Date | 2021-09-02 |