NPI | 1932170057 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: ND 9038) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MN 41071) |
Enumeration Date | 2006-01-27 |
Last Update Date | 2023-10-27 |