NPI | 1255344248 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XS0114X Orthopaedic Surgery Adult Reconstructive Orthopaedic Surgery (Licence: CO 16596) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CO 16596) |
Enumeration Date | 2006-08-14 |
Last Update Date | 2011-04-11 |