NPI | 1902814114 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NC 2021-02948) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: PA MD060967L) |
Enumeration Date | 2006-08-03 |
Last Update Date | 2022-06-06 |