NPI | 1962791251 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: LA 206955) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: FL ME126476) |
Enumeration Date | 2011-04-07 |
Last Update Date | 2024-04-11 |