NPI | 1053536425 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: TX N7585) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA A94218) |
Enumeration Date | 2007-04-13 |
Last Update Date | 2015-01-07 |