NPI | 1942400544 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: WI 54694) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: PA OT010925) |
Enumeration Date | 2007-07-20 |
Last Update Date | 2022-05-25 |