NPI | 1508919622 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: AL 1149) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA 20A9623) |
Enumeration Date | 2007-01-19 |
Last Update Date | 2017-01-18 |