NPI | 1558316703 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: WA MD60466942) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MT 11094) |
Enumeration Date | 2006-05-24 |
Last Update Date | 2014-11-21 |