NPI | 1285628537 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: KY 38401) |
Additional Taxonomies | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: IN 01058351A) |
Enumeration Date | 2005-09-01 |
Last Update Date | 2023-11-09 |