| NPI | 1790988087 |
|---|---|
| Professional Name | CHARLES HENRY BLACK |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MS 23113) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MI 5101016776) |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2020-01-06 |