NPI | 1932300530 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: AR E-7495) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MS T-1950) |
207X00000X Orthopaedic Surgery (Licence: TX N7423) | |
Enumeration Date | 2007-05-30 |
Last Update Date | 2012-06-15 |