NPI | 1710474952 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CO DR.0070122) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: VA 1710474952) |
Enumeration Date | 2018-04-13 |
Last Update Date | 2024-07-16 |