NPI | 1124068671 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: DE C1-0000574) |
Additional Taxonomies | 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: DE C1-0000574) |
Enumeration Date | 2006-06-06 |
Last Update Date | 2007-07-08 |