NPI | 1992022701 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: NY 284653) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MA 262709) |
207X00000X Orthopaedic Surgery (Licence: NY 284653) | |
Enumeration Date | 2010-05-03 |
Last Update Date | 2021-01-20 |