NPI | 1134386592 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: TN 45803) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA A108853) |
Enumeration Date | 2008-05-21 |
Last Update Date | 2010-09-05 |