NPI | 1811929557 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: AL DO.1220) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MS 19174) |
Enumeration Date | 2006-07-06 |
Last Update Date | 2024-05-07 |