NPI | 1053565143 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: CA A109863) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA A109863) |
Enumeration Date | 2008-11-16 |
Last Update Date | 2024-11-10 |