NPI | 1346204195 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: PA MD030158E) |
Additional Taxonomies | 2086S0127X Surgery, Trauma Surgery (Licence: PA MD030158E) |
Enumeration Date | 2006-04-17 |
Last Update Date | 2018-03-17 |