NPI | 1558412130 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: IA 39649) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: KS 94-06593) |
Enumeration Date | 2007-01-12 |
Last Update Date | 2011-10-06 |