NPI | 1306285978 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: GA 99969) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: SC 35752) |
207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: SC 35752) | |
Enumeration Date | 2013-06-17 |
Last Update Date | 2024-07-09 |