NPI | 1831332659 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: OH 35.128189) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: FL ME123050) |
Enumeration Date | 2009-04-08 |
Last Update Date | 2016-07-15 |