NPI | 1851394613 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: FL ME53630) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: GA 040049) |
Enumeration Date | 2005-05-24 |
Last Update Date | 2012-04-18 |