NPI | 1184819773 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: PR 18438) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: VA 0101252032) |
Enumeration Date | 2007-09-07 |
Last Update Date | 2018-06-12 |