NPI | 1023636073 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MA 1022339) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA PTL4907) |
207X00000X Orthopaedic Surgery (Licence: CA A180896) | |
Enumeration Date | 2020-07-07 |
Last Update Date | 2025-05-09 |