NPI | 1811125859 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MO 2013044289) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: TX R2933) |
Enumeration Date | 2009-06-29 |
Last Update Date | 2022-09-02 |