NPI | 1134652829 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: OR MD193460) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: OR MD193460) |
Enumeration Date | 2017-04-10 |
Last Update Date | 2024-05-21 |