NPI | 1144481532 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MA 238724) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: PA MD430481) |
Enumeration Date | 2008-06-19 |
Last Update Date | 2010-08-31 |