NPI | 1558357509 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: OH 35.124984) |
Additional Taxonomies | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: TX L6400) |
207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: IN 01047902A) | |
Enumeration Date | 2005-09-26 |
Last Update Date | 2019-08-28 |