NPI | 1760452197 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: WA MD60037709) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: OR MD22435) |
Enumeration Date | 2006-01-26 |
Last Update Date | 2009-01-20 |