NPI | 1366434052 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: PA MD063228L) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: PA MD063228L) |
Enumeration Date | 2005-08-18 |
Last Update Date | 2014-01-16 |