NPI | 1790712792 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: AZ 36177) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: AZ 36177) |
Enumeration Date | 2006-06-26 |
Last Update Date | 2024-04-23 |