NPI | 1992700330 |
---|---|
Other Name | LONNIE E PAULOS |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: UT 157061-8905) |
Additional Taxonomies | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: NV 5107) |
207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: FL me102290) | |
Enumeration Date | 2005-06-14 |
Last Update Date | 2012-05-04 |