NPI | 1730560228 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NE 29382) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: KS 0443770) |
Enumeration Date | 2015-06-10 |
Last Update Date | 2021-10-14 |