NPI | 1225220551 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: LA 202923) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: LA 202923) |
Enumeration Date | 2007-08-10 |
Last Update Date | 2015-09-28 |