NPI | 1538269006 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: WA MD60137857) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: WA ML20008136) |
207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: WA MD60137857) | |
Enumeration Date | 2006-09-25 |
Last Update Date | 2012-12-31 |