NPI | 1255315222 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CA G145660) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MA 160413) |
Enumeration Date | 2005-12-02 |
Last Update Date | 2016-11-14 |