NPI | 1407865751 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MN 48356) |
Additional Taxonomies | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: MN 48356) |
Enumeration Date | 2006-08-05 |
Last Update Date | 2020-10-28 |