NPI | 1124188909 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: PA MD426240) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA A99243) |
Enumeration Date | 2006-12-11 |
Last Update Date | 2013-01-10 |