NPI | 1154535797 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0105X Surgery, Surgery of the Hand (Licence: GA 065799) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: GA 065799) |
Enumeration Date | 2007-05-10 |
Last Update Date | 2015-05-27 |