NPI | 1225410582 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: CA 20A15035) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA 20A15035) |
Enumeration Date | 2015-06-23 |
Last Update Date | 2023-09-12 |