NPI | 1770562001 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NC 2013-00519) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: VA 0101257757) |
Enumeration Date | 2006-01-13 |
Last Update Date | 2021-11-10 |