NPI | 1972097939 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: CA A184818) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA A184818) |
207X00000X Orthopaedic Surgery (Licence: MO 2018017103) | |
Enumeration Date | 2018-06-21 |
Last Update Date | 2024-04-27 |