NPI | 1013104215 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: CA A100870) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MA 247247) |
207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: MA 247247) | |
Enumeration Date | 2007-10-02 |
Last Update Date | 2022-02-11 |