NPI | 1215087713 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0105X Surgery, Surgery of the Hand (Licence: ND 10984) |
Additional Taxonomies | 2086S0105X Surgery, Surgery of the Hand (Licence: TX L7058) |
2086S0105X Surgery, Surgery of the Hand (Licence: ND PT10984) | |
Enumeration Date | 2007-01-10 |
Last Update Date | 2014-05-13 |