NPI | 1225008360 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: MD D93663) |
Additional Taxonomies | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: MN 51213) |
207X00000X Orthopaedic Surgery (Licence: VA 0101102773) | |
Enumeration Date | 2006-01-23 |
Last Update Date | 2023-07-06 |