NPI | 1902863525 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: MD D0033077) |
Additional Taxonomies | 174400000X Specialist (Licence: MD M31666) |
207X00000X Orthopaedic Surgery (Licence: MD D0033077) | |
Enumeration Date | 2006-04-27 |
Last Update Date | 2010-07-22 |