NPI | 1780667865 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: TN 37747) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NC 2005-00744) |
Enumeration Date | 2005-11-22 |
Last Update Date | 2011-03-22 |