NPI | 1861615155 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: SD 10105) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NC 2014-01725) |
Enumeration Date | 2007-04-11 |
Last Update Date | 2019-10-31 |