NPI | 1740414317 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: FL OS13280) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: FL UO2075) |
Enumeration Date | 2009-05-11 |
Last Update Date | 2020-10-05 |