NPI | 1477714665 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CA A133234) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: PA MT193317) |
Enumeration Date | 2008-06-19 |
Last Update Date | 2022-03-22 |