NPI | 1528402179 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: CA A133882) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA A133882) |
Enumeration Date | 2013-04-25 |
Last Update Date | 2019-08-14 |