NPI | 1851828735 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: VA 0101277238) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: PA MD477480) |
Enumeration Date | 2017-05-22 |
Last Update Date | 2023-03-24 |