NPI | 1558623934 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: OK 29364) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: OK 29364) |
207X00000X Orthopaedic Surgery (Licence: PA MT212690) | |
207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: PA MT212690) | |
Enumeration Date | 2012-06-12 |
Last Update Date | 2019-07-02 |