NPI | 1821257957 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MI 4301092041) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: ID M-12054) |
Enumeration Date | 2008-06-04 |
Last Update Date | 2015-03-24 |