NPI | 1790952406 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: AR E10619) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: OH 57-013137) |
207X00000X Orthopaedic Surgery (Licence: VA 01011251395) | |
207X00000X Orthopaedic Surgery (Licence: WY 9348A) | |
Enumeration Date | 2008-05-12 |
Last Update Date | 2018-06-16 |