NPI | 1487093951 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CA 20A13592) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: TX R7395) |
Enumeration Date | 2013-06-18 |
Last Update Date | 2019-08-19 |