NPI | 1023295292 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CA A105392) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: UT 8315898-1205) |
Enumeration Date | 2008-01-29 |
Last Update Date | 2021-12-06 |