NPI | 1457346389 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: ME MD12852) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: ME 012852) |
Enumeration Date | 2005-09-16 |
Last Update Date | 2018-10-09 |