NPI | 1891721742 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: MD D0064251) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MD D0064251) |
Enumeration Date | 2006-06-23 |
Last Update Date | 2023-06-26 |