NPI | 1780244954 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: OK 45496) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: KS 94-09932) |
207X00000X Orthopaedic Surgery (Licence: FL ME167598) | |
Enumeration Date | 2019-06-19 |
Last Update Date | 2025-08-04 |