NPI | 1760428478 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: WA MD23842) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: OR MD15898) |
Enumeration Date | 2006-06-21 |
Last Update Date | 2007-10-10 |