NPI | 1194705574 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: FL ME54173) |
Additional Taxonomies | 207XX0801X Orthopaedic Surgery Orthopaedic Trauma (Licence: FL ME54173) |
Enumeration Date | 2006-01-20 |
Last Update Date | 2016-07-25 |