NPI | 1114063435 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: VA 0101054622) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: DC MD040109) |
207X00000X Orthopaedic Surgery (Licence: MD D9972097) | |
Enumeration Date | 2007-01-30 |
Last Update Date | 2018-07-24 |