NPI | 1164699120 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CA A99534) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NY 236801) |
Enumeration Date | 2008-05-09 |
Last Update Date | 2011-12-02 |