NPI | 1891753448 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: MA 71748) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MA 71748) |
Enumeration Date | 2006-05-03 |
Last Update Date | 2012-05-03 |