NPI | 1457343295 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: LA 10006) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: LA 010006) |
Enumeration Date | 2005-08-18 |
Last Update Date | 2008-01-30 |