NPI | 1710948815 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: TX F4038) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: VA 0101232423) |
Enumeration Date | 2006-03-29 |
Last Update Date | 2014-03-28 |