NPI | 1619965126 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: TX E9593) |
Additional Taxonomies | 2086S0105X Surgery, Surgery of the Hand (Licence: TX E9593) |
Enumeration Date | 2005-10-10 |
Last Update Date | 2021-06-14 |