NPI | 1144462367 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: WA MD60482933) |
Additional Taxonomies | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: MN 108413) |
Enumeration Date | 2009-04-02 |
Last Update Date | 2021-02-01 |