NPI | 1922040161 |
---|---|
Other Name | M WADE SHRADER |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MS 23720) |
Additional Taxonomies | 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: DE C001) |
Enumeration Date | 2006-06-12 |
Last Update Date | 2018-03-17 |