NPI | 1073563078 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: PA MD034449E) |
Additional Taxonomies | 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: NJ 25MA08608100) |
Enumeration Date | 2006-05-11 |
Last Update Date | 2015-11-10 |