NPI | 1922166040 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery (Licence: TX M5501) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: TX M5501) |
Enumeration Date | 2006-12-04 |
Last Update Date | 2010-10-26 |