NPI | 1023577988 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MA 1018425) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA A182442) |
Enumeration Date | 2019-03-19 |
Last Update Date | 2024-05-30 |