NPI | 1437129517 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MA 72552) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NH 12032) |
Enumeration Date | 2006-01-23 |
Last Update Date | 2015-02-13 |