NPI | 1376673103 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: VA 0101240804) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: VA 0101240804) |
174400000X Specialist (Licence: VA 0101240804) | |
Enumeration Date | 2007-03-07 |
Last Update Date | 2019-12-06 |