NPI | 1295927846 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MN 50192) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MN 103313) |
Enumeration Date | 2007-08-16 |
Last Update Date | 2007-11-19 |