NPI | 1174531941 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0105X Surgery Surgery of the Hand (Licence: TX H5727) |
Additional Taxonomies | 2086S0122X Surgery Plastic and Reconstructive Surgery (Licence: TX H5727) |
Enumeration Date | 2006-08-04 |
Last Update Date | 2016-04-19 |