NPI | 1326602616 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CA A193464) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: TX V7049) |
Enumeration Date | 2019-04-23 |
Last Update Date | 2025-07-03 |