NPI | 1821057480 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: AR E4743) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: AR E-4743) |
Enumeration Date | 2006-03-22 |
Last Update Date | 2024-06-20 |