NPI | 1538175062 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: SC 27085) |
Additional Taxonomies | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: RI 12898) |
2086S0105X Surgery, Surgery of the Hand (Licence: SC 27085) | |
Enumeration Date | 2006-08-01 |
Last Update Date | 2021-06-24 |