NPI | 1568812774 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CA A172070) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MO 2016016969) |
Enumeration Date | 2016-06-18 |
Last Update Date | 2022-05-27 |