NPI | 1427152636 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: IA 28155) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: SD 3409) |
Enumeration Date | 2006-09-08 |
Last Update Date | 2010-09-29 |