NPI | 1326187188 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MO R5045) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MO R5045) |
Enumeration Date | 2007-02-06 |
Last Update Date | 2011-10-11 |