NPI | 1225085368 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: OR MD14886) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: WA MD20764) |
Enumeration Date | 2006-05-27 |
Last Update Date | 2007-10-10 |