NPI | 1174636302 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: CA A68244) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA A68244) |
Enumeration Date | 2006-08-15 |
Last Update Date | 2023-11-27 |