NPI | 1922325190 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: LA Q7846) |
Additional Taxonomies | 208600000X Surgery (Licence: SC LL32836) |
Enumeration Date | 2010-04-28 |
Last Update Date | 2020-08-06 |