NPI | 1356552657 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CO 51478) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: OH 57012209) |
Enumeration Date | 2007-05-25 |
Last Update Date | 2012-07-26 |