NPI | 1932137304 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CA 20A19126) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MI 5101012843) |
Enumeration Date | 2006-06-28 |
Last Update Date | 2022-10-11 |