NPI | 1902889322 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NC 15544) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: SC 10858) |
Enumeration Date | 2005-11-21 |
Last Update Date | 2021-03-29 |