NPI | 1588771745 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CA A108023) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: RI LP00167) |
Enumeration Date | 2006-08-24 |
Last Update Date | 2023-03-07 |