NPI | 1154328029 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: IA 27856) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: WI 36319) |
Enumeration Date | 2005-07-07 |
Last Update Date | 2010-07-14 |