NPI | 1750453916 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NC 2008-01829) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: PA MD-047705L) |
Enumeration Date | 2006-11-14 |
Last Update Date | 2013-09-11 |