NPI | 1275643322 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CT 41663) |
Additional Taxonomies | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: PA MD419529) |
207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: CT 041663) | |
Enumeration Date | 2006-08-30 |
Last Update Date | 2024-03-06 |