NPI | 1770108821 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MI 4301512670) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MI 4351046399) |
Enumeration Date | 2020-06-15 |
Last Update Date | 2024-09-24 |