NPI | 1831155811 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: PA OS007480L) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: AZ 4779) |
207X00000X Orthopaedic Surgery (Licence: WV 2164) | |
Enumeration Date | 2006-04-26 |
Last Update Date | 2024-10-16 |