NPI | 1477651560 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: AZ 3040) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: OR DO09110) |
Enumeration Date | 2006-09-20 |
Last Update Date | 2010-02-25 |