NPI | 1831332576 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: WI 76803-20) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: TX P9895) |
Enumeration Date | 2009-04-10 |
Last Update Date | 2022-08-02 |