NPI | 1730183559 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NC 9801077) |
Additional Taxonomies | 174400000X Specialist (Licence: NC 01077) |
Enumeration Date | 2005-06-09 |
Last Update Date | 2023-02-23 |