NPI | 1457585192 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: GA 073546) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: GA 73546) |
Enumeration Date | 2009-05-11 |
Last Update Date | 2015-07-27 |