NPI | 1649469628 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CA A118845) |
Additional Taxonomies | 208600000X Surgery (Licence: OH 57013123) |
Enumeration Date | 2007-10-16 |
Last Update Date | 2013-11-08 |