NPI | 1205164761 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XX0801X Orthopaedic Surgery Orthopaedic Trauma (Licence: CA A103633) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA A103633) |
207X00000X Orthopaedic Surgery (Licence: PA MD446107) | |
Enumeration Date | 2009-11-20 |
Last Update Date | 2024-03-07 |