NPI | 1801068929 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: DC 149984) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: VA 0116017285) |
Enumeration Date | 2008-03-28 |
Last Update Date | 2020-12-01 |