NPI | 1417960709 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: ID M7138) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MT 7367) |
207X00000X Orthopaedic Surgery (Licence: NM 81-31) | |
207X00000X Orthopaedic Surgery (Licence: WA MD00024662) | |
Enumeration Date | 2006-08-15 |
Last Update Date | 2014-02-11 |