NPI | 1467712018 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: CA A124490) |
Additional Taxonomies | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: CA A124490) |
Enumeration Date | 2012-05-16 |
Last Update Date | 2021-10-18 |