NPI | 1588982508 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CA A112036) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NC 2014-00601) |
Enumeration Date | 2010-05-14 |
Last Update Date | 2015-07-14 |