NPI | 1922054881 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: KY 22922) |
Additional Taxonomies | 174400000X Specialist (Licence: KY 22922) |
Enumeration Date | 2006-05-25 |
Last Update Date | 2014-04-15 |