NPI | 1841638699 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: CA 15480) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: OR PG162868) |
Enumeration Date | 2013-06-13 |
Last Update Date | 2023-09-12 |