NPI | 1679527352 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: TX P1945) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: AR E3626) |
Enumeration Date | 2006-05-19 |
Last Update Date | 2015-10-23 |