NPI | 1578568291 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: FL ME 60307) |
Additional Taxonomies | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: FL ME 60307) |
Enumeration Date | 2005-06-17 |
Last Update Date | 2018-05-14 |