NPI | 1568023737 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CA A191935) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: PA MT219422) |
Enumeration Date | 2019-06-27 |
Last Update Date | 2024-08-05 |