NPI | 1760589568 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MN 58633) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: WI 84549) |
207X00000X Orthopaedic Surgery (Licence: MN 107710) | |
207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: KY 39538) | |
Enumeration Date | 2006-09-20 |
Last Update Date | 2025-01-24 |