NPI | 1891299426 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: TX V4772) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IL 125.073274) |
207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: OR MD215002) | |
Enumeration Date | 2018-03-20 |
Last Update Date | 2024-11-06 |