NPI | 1427039569 |
---|---|
Other Name | JOHN PAUL VIDOLIN |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: FL ME0068375) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: FL ME0068375) |
Enumeration Date | 2005-11-07 |
Last Update Date | 2007-11-16 |