NPI | 1023205077 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CA A97423) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MA 246386) |
Enumeration Date | 2007-10-03 |
Last Update Date | 2024-04-22 |