NPI | 1760943765 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MD D0100579) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: GA 1760943765) |
Enumeration Date | 2019-03-31 |
Last Update Date | 2024-07-24 |