NPI | 1104314111 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: TX V0815) |
Additional Taxonomies | 207XX0005X Orthopaedic Surgery Sports Medicine (Licence: TX V0815) |
Enumeration Date | 2018-04-25 |
Last Update Date | 2024-09-11 |