NPI | 1992786115 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: UT 346899-1205) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA A84788) |
207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: MA 231563) | |
Enumeration Date | 2005-11-07 |
Last Update Date | 2024-05-20 |