NPI | 1831852367 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: MO 2024037827) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MO 2024037827) |
207X00000X Orthopaedic Surgery (Licence: CO DR.0071180) | |
Enumeration Date | 2021-10-21 |
Last Update Date | 2024-09-17 |