NPI | 1669561171 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: VA 0101248828) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: SC LL28139) |
Enumeration Date | 2006-10-12 |
Last Update Date | 2014-02-27 |