NPI | 1447222385 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: IA MD-32952) |
Additional Taxonomies | 174400000X Specialist (Licence: IA E60072) |
Enumeration Date | 2006-02-04 |
Last Update Date | 2017-03-10 |