NPI | 1891898144 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: TX N5000) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MS 19474) |
Enumeration Date | 2006-09-05 |
Last Update Date | 2010-06-01 |