NPI | 1851596431 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: HI MD-16974) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MA L-232764) |
Enumeration Date | 2007-06-15 |
Last Update Date | 2021-05-14 |