NPI | 1538198189 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: AL 19319) |
Additional Taxonomies | 174400000X Specialist (Licence: AL 00019319) |
Enumeration Date | 2006-07-03 |
Last Update Date | 2012-10-29 |