NPI | 1740284140 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MO 112693) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: KS 0426908) |
207X00000X Orthopaedic Surgery (Licence: OK 20886) | |
207X00000X Orthopaedic Surgery (Licence: TX J3342) | |
Enumeration Date | 2005-06-13 |
Last Update Date | 2014-02-04 |