NPI | 1568568152 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: CA G 57052) |
Additional Taxonomies | 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: KY 40074) |
207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: KY 40074) | |
Enumeration Date | 2006-09-15 |
Last Update Date | 2012-11-15 |