NPI | 1194106716 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: MN 69338) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: RI MD17076) |
Enumeration Date | 2015-06-10 |
Last Update Date | 2024-01-02 |