NPI | 1174527857 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0105X Surgery, Surgery of the Hand (Licence: FL ME64578) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: FL ME64578) |
207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: FL ME64578) | |
207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: FL ME64578) | |
Enumeration Date | 2005-06-09 |
Last Update Date | 2021-03-25 |