NPI | 1316023112 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: WA MD00037425) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: WA MD00037425) |
Enumeration Date | 2006-10-27 |
Last Update Date | 2011-09-26 |