NPI | 1417956277 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: FL ME64153) |
Additional Taxonomies | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: FL ME0064153) |
207X00000X Orthopaedic Surgery (Licence: FL ME0064153) | |
Enumeration Date | 2005-07-14 |
Last Update Date | 2020-11-04 |