NPI | 1932631488 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MN 64195) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MN 28433) |
Enumeration Date | 2017-04-03 |
Last Update Date | 2023-08-30 |