NPI | 1801000286 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: OH 35-094929) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: OH 57.009181) |
Enumeration Date | 2007-05-09 |
Last Update Date | 2020-12-06 |