NPI | 1467959270 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: OR MD219232) |
Additional Taxonomies | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: UT 13323083-1205) |
Enumeration Date | 2018-04-09 |
Last Update Date | 2025-09-26 |