NPI | 1801957865 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MD D21596) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: VA 0101029702) |
207X00000X Orthopaedic Surgery (Licence: DC MD11000) | |
Enumeration Date | 2006-12-13 |
Last Update Date | 2007-07-08 |