NPI | 1407029077 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: TX Q0730) |
Additional Taxonomies | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: PA MD448190) |
207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: NJ 25MA09280600) | |
Enumeration Date | 2008-04-03 |
Last Update Date | 2021-07-06 |