NPI | 1124025325 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: CA 20A7718) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA 20A7718) |
Enumeration Date | 2005-07-01 |
Last Update Date | 2019-11-04 |