NPI | 1366781585 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: VA 0101256752) |
Additional Taxonomies | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: WA MD61076173) |
Enumeration Date | 2013-02-07 |
Last Update Date | 2024-01-19 |