NPI | 1710307772 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: VA 0101264557) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: VA VA0101264557) |
Enumeration Date | 2014-04-17 |
Last Update Date | 2025-02-25 |