NPI | 1679676530 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CA G51976) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: WY 4517A) |
207X00000X Orthopaedic Surgery (Licence: ID M5857) | |
207X00000X Orthopaedic Surgery (Licence: MT 7727) | |
Enumeration Date | 2006-09-06 |
Last Update Date | 2024-09-08 |