NPI | 1992970180 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: UT 6826233-1205) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: UT 6826233-8905) |
Enumeration Date | 2008-04-28 |
Last Update Date | 2014-02-27 |