NPI | 1851576433 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: LA MD201663) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: OR MD150822) |
Enumeration Date | 2008-01-02 |
Last Update Date | 2021-04-23 |