NPI | 1013981653 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 174400000X Specialist (Licence: FL ME55438) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: FL ME 55438) |
Enumeration Date | 2006-02-13 |
Last Update Date | 2007-08-09 |