NPI | 1558823435 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CA A182570) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MA 1018338) |
207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: CA A182570) | |
Enumeration Date | 2019-04-01 |
Last Update Date | 2025-09-03 |