NPI | 1104098136 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: AZ 42577) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: AZ 80867) |
207X00000X Orthopaedic Surgery (Licence: NY 260862) | |
207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: AZ 42577) | |
Enumeration Date | 2008-03-31 |
Last Update Date | 2014-01-06 |