NPI | 1902020159 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: FL ME123935) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: GA 000502) |
Enumeration Date | 2007-04-12 |
Last Update Date | 2023-04-24 |