NPI | 1801322953 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NY 316839) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IA R-10844) |
Enumeration Date | 2017-05-11 |
Last Update Date | 2022-07-11 |