NPI | 1184835639 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: NY 253118) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NY 253118) |
Enumeration Date | 2007-05-25 |
Last Update Date | 2018-04-06 |