NPI | 1013094317 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MD D36506) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: DC 13221) |
207X00000X Orthopaedic Surgery (Licence: VA 0101045269) | |
Enumeration Date | 2006-11-01 |
Last Update Date | 2017-01-03 |