NPI | 1659322865 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: ND 5070) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MN 28822) |
Enumeration Date | 2006-05-12 |
Last Update Date | 2011-05-16 |