NPI | 1538136965 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: OH 35-072305) |
Additional Taxonomies | 174400000X Specialist (Licence: OH 35-072305) |
Enumeration Date | 2006-03-03 |
Last Update Date | 2016-05-05 |