NPI | 1457319097 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MO R6633) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: KS 04-16077) |
Enumeration Date | 2006-05-03 |
Last Update Date | 2011-03-08 |