NPI | 1518992817 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: SC 12392) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: SC 12392) |
Enumeration Date | 2006-07-12 |
Last Update Date | 2019-10-02 |