NPI | 1467608208 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: OR M150683) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: OR MD150683) |
207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: WA MD60125316) | |
207X00000X Orthopaedic Surgery (Licence: WA MD60125316) | |
Enumeration Date | 2008-08-12 |
Last Update Date | 2020-08-12 |