NPI | 1417362757 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery (Licence: CA 20A14591) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA 20A14591) |
Enumeration Date | 2014-06-25 |
Last Update Date | 2023-03-10 |