NPI | 1114942307 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: LA 05302R) |
Additional Taxonomies | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: LA 05302R) |
Enumeration Date | 2006-07-12 |
Last Update Date | 2008-08-26 |