NPI | 1720244932 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MS 23260) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: KY 45479) |
207X00000X Orthopaedic Surgery (Licence: OH 35.099675) | |
Enumeration Date | 2008-08-06 |
Last Update Date | 2020-01-06 |