NPI | 1205033784 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: WA MD60296681) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: WA MD60296681) |
Enumeration Date | 2007-06-28 |
Last Update Date | 2024-05-23 |