NPI | 1962452524 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MI 5101014863) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CT 044107) |
207X00000X Orthopaedic Surgery (Licence: NY 238944) | |
Enumeration Date | 2006-05-12 |
Last Update Date | 2024-08-07 |