NPI | 1053450072 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CA C149911) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NV 17241) |
Enumeration Date | 2007-02-06 |
Last Update Date | 2018-08-30 |