NPI | 1770070336 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CA 20A20596) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: FL UO5943) |
207X00000X Orthopaedic Surgery (Licence: FL OS17258) | |
Enumeration Date | 2018-04-19 |
Last Update Date | 2023-08-08 |