NPI | 1154365575 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: SC 31372) |
Additional Taxonomies | 174400000X Specialist (Licence: PA MD030154L) |
Enumeration Date | 2006-06-15 |
Last Update Date | 2017-06-18 |