NPI | 1568684769 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: PA MD425198) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: PA MD425198) |
Enumeration Date | 2007-05-03 |
Last Update Date | 2024-09-30 |