NPI | 1457388589 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: TX M3903) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: TX BP20019973) |
Enumeration Date | 2006-06-26 |
Last Update Date | 2012-04-11 |