NPI | 1811212236 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: TX t6313) |
Additional Taxonomies | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: MI 4301109445) |
Enumeration Date | 2010-03-29 |
Last Update Date | 2022-07-13 |