NPI | 1023017555 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: TX D9381) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NH 14488) |
Enumeration Date | 2005-07-18 |
Last Update Date | 2009-11-04 |