NPI | 1528173259 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: WA MD00046990) |
Additional Taxonomies | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: WA MD00046900) |
Enumeration Date | 2006-08-21 |
Last Update Date | 2007-07-09 |