NPI | 1780844563 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: SC 30846) |
Additional Taxonomies | 208D00000X General Practice (Licence: SC LL30846) |
207X00000X Orthopaedic Surgery (Licence: GA 68863) | |
Enumeration Date | 2008-06-15 |
Last Update Date | 2014-08-21 |