NPI | 1033166962 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: LA MD.205884) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MS 21127) |
Enumeration Date | 2006-05-27 |
Last Update Date | 2017-04-17 |