NPI | 1346682804 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CA A133834) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: WA MD60956312) |
207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: WA MD60956312) | |
Enumeration Date | 2013-07-25 |
Last Update Date | 2023-10-31 |