NPI | 1780689406 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CA A054508) |
Additional Taxonomies | 174400000X Specialist (Licence: FL ME84652) |
Enumeration Date | 2005-06-17 |
Last Update Date | 2023-06-27 |