NPI | 1275574790 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: VA 101045829) |
Additional Taxonomies | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: VA 0101045829) |
Enumeration Date | 2006-06-08 |
Last Update Date | 2020-10-22 |