NPI | 1851730501 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: OH 34.013147) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MI 5101020657) |
Enumeration Date | 2013-06-17 |
Last Update Date | 2021-09-13 |