NPI | 1487604542 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: OH 35070366) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MI JM051623) |
Enumeration Date | 2006-05-11 |
Last Update Date | 2016-09-12 |