NPI | 1588659866 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: ID M-8179) |
Additional Taxonomies | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: WA MD00039434) |
Enumeration Date | 2005-09-13 |
Last Update Date | 2019-04-11 |