NPI | 1194162958 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: MO 2019026844) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MO 2019026844) |
207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: CA A153736) | |
Enumeration Date | 2013-06-03 |
Last Update Date | 2019-09-12 |