NPI | 1366423980 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: MO 106801) |
Additional Taxonomies | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: CO 54940) |
Enumeration Date | 2005-11-10 |
Last Update Date | 2015-05-21 |