NPI | 1932321924 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NE 1228) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: OH 58-001731) |
Enumeration Date | 2007-05-02 |
Last Update Date | 2012-02-29 |