NPI | 1952514994 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: SD 7724) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NE 5000) |
207X00000X Orthopaedic Surgery (Licence: MN 51596) | |
Enumeration Date | 2007-05-07 |
Last Update Date | 2011-06-24 |