NPI | 1629059506 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NV 4118) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA G031965) |
Enumeration Date | 2005-11-08 |
Last Update Date | 2016-06-10 |