NPI | 1154316636 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: IA 21696) |
Additional Taxonomies | 207XS0114X Orthopaedic Surgery Adult Reconstructive Orthopaedic Surgery (Licence: IA 21696) |
Enumeration Date | 2005-09-12 |
Last Update Date | 2007-11-28 |