NPI | 1912047945 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: VA 0101240556) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: FL ME 121785) |
207X00000X Orthopaedic Surgery (Licence: VA 0101240556) | |
2083A0100X Preventive Medicine, Aerospace Medicine (Licence: VA 0101240556) | |
Enumeration Date | 2007-02-07 |
Last Update Date | 2021-11-28 |