NPI | 1366738700 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery (Licence: WA FE60229523) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: WA FE60229523) |
Enumeration Date | 2011-06-23 |
Last Update Date | 2011-06-23 |