NPI | 1619312584 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NY 301336) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA A155533) |
Enumeration Date | 2013-05-06 |
Last Update Date | 2024-09-09 |