NPI | 1215059746 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: AL 25685) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MS 19740) |
Enumeration Date | 2007-04-04 |
Last Update Date | 2009-07-23 |