NPI | 1851778401 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: NC 2024-03192) |
Additional Taxonomies | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: VA 0101260856) |
207X00000X Orthopaedic Surgery (Licence: MA 295559) | |
Enumeration Date | 2015-05-04 |
Last Update Date | 2025-02-19 |