NPI | 1730394669 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: AK MEDS8334) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MD D0071677) |
Enumeration Date | 2007-05-14 |
Last Update Date | 2018-10-03 |