NPI | 1033101290 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: LA 014608) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MS 16725) |
Enumeration Date | 2005-08-15 |
Last Update Date | 2008-06-17 |