NPI | 1306813035 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: FL 46349) |
Additional Taxonomies | 174400000X Specialist (Licence: FL ME46349) |
Enumeration Date | 2006-03-01 |
Last Update Date | 2012-06-12 |