NPI | 1467794974 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MI 4301505875) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA A175399) |
207X00000X Orthopaedic Surgery (Licence: VA 0101257432) | |
Enumeration Date | 2013-03-22 |
Last Update Date | 2023-12-21 |