NPI | 1013989995 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: AL 19772) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: TN 33914) |
207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: FL ME102420) | |
207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: TN 33914) | |
Enumeration Date | 2006-02-03 |
Last Update Date | 2018-03-17 |