NPI | 1215965405 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: FL 143787) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: OH 35079068E) |
Enumeration Date | 2006-06-28 |
Last Update Date | 2025-02-21 |