NPI | 1962851147 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: PA MD479082) |
Additional Taxonomies | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: PA MD479082) |
207X00000X Orthopaedic Surgery (Licence: NJ 25MA11519900) | |
Enumeration Date | 2016-06-08 |
Last Update Date | 2024-05-21 |