NPI | 1801425822 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: TX V6947) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA A183430) |
Enumeration Date | 2020-04-02 |
Last Update Date | 2025-07-10 |