NPI | 1740228485 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: ME DO2787) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: FL OS 7010) |
Enumeration Date | 2006-06-03 |
Last Update Date | 2018-11-29 |