NPI | 1770743833 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: AR E7560) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: OK 26368) |
Enumeration Date | 2008-06-12 |
Last Update Date | 2021-05-27 |