NPI | 1265494769 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0105X Surgery, Surgery of the Hand (Licence: PA MD424715) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: PA MD424715) |
Enumeration Date | 2006-04-03 |
Last Update Date | 2017-12-14 |