NPI | 1386756864 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: OH 35032508) |
Additional Taxonomies | 174400000X Specialist (Licence: OH 35032508) |
Enumeration Date | 2006-08-31 |
Last Update Date | 2011-05-19 |