NPI | 1730161886 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: TX L0176) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: TN 43514) |
Enumeration Date | 2005-11-15 |
Last Update Date | 2019-12-12 |