NPI | 1194968321 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: CT 54353) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CT 54353) |
207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: MA 258300) | |
Enumeration Date | 2009-04-17 |
Last Update Date | 2023-05-03 |