NPI | 1396771192 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CO 36890) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA A100633) |
Enumeration Date | 2006-06-23 |
Last Update Date | 2015-07-23 |