NPI | 1588857874 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2086S0105X Surgery, Surgery of the Hand (Licence: TX N5229) |
Additional Taxonomies | 208600000X Surgery (Licence: PA MT185032) |
208600000X Surgery (Licence: PA MT 185032) | |
Enumeration Date | 2007-08-21 |
Last Update Date | 2020-09-08 |