NPI | 1144218157 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: GA 050358) |
Additional Taxonomies | 207XX0005X Orthopaedic Surgery Sports Medicine (Licence: GA 050358) |
Enumeration Date | 2005-10-12 |
Last Update Date | 2013-01-23 |