NPI | 1295723773 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: RI MD07857) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MA 73223) |
Enumeration Date | 2005-10-10 |
Last Update Date | 2008-05-05 |