NPI | 1447771365 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: MN 74387) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MN 74387) |
Enumeration Date | 2017-06-30 |
Last Update Date | 2025-06-18 |