NPI | 1821421389 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: LA 306194) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: RI MD18345) |
Enumeration Date | 2013-08-19 |
Last Update Date | 2023-10-11 |