NPI | 1215591953 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: UT 13882190-1205) |
Additional Taxonomies | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: UT 13882190-1205) |
Enumeration Date | 2019-04-29 |
Last Update Date | 2024-04-25 |