NPI | 1922065119 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NM 200143) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CO 43662) |
Enumeration Date | 2006-05-01 |
Last Update Date | 2020-10-05 |