NPI | 1740451251 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: VA 0101252166) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: OH 35.090778) |
207X00000X Orthopaedic Surgery (Licence: KY 44106) | |
Enumeration Date | 2008-03-13 |
Last Update Date | 2012-08-09 |