NPI | 1043669989 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: CA A152439) |
Additional Taxonomies | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: MO 2022010403) |
Enumeration Date | 2016-06-10 |
Last Update Date | 2023-11-17 |