NPI | 1811494750 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MN 65893) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MN 29300) |
Enumeration Date | 2018-04-08 |
Last Update Date | 2024-01-22 |