NPI | 1154681708 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CA A156466) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: PA MT201562) |
Enumeration Date | 2012-05-16 |
Last Update Date | 2018-10-16 |