NPI | 1124068085 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NH 14243) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: RI 05436) |
Enumeration Date | 2006-06-08 |
Last Update Date | 2011-02-03 |