NPI | 1407825599 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: WA 1068238) |
Additional Taxonomies | 174400000X Specialist (Licence: WA MD00028886) |
Enumeration Date | 2006-03-14 |
Last Update Date | 2024-11-20 |