NPI | 1396292603 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: CA A184415) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: PR 21777) |
Enumeration Date | 2016-09-02 |
Last Update Date | 2024-06-25 |