NPI | 1619970589 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: FL ME64806) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: FL ME64806) |
207X00000X Orthopaedic Surgery (Licence: GA 039731) | |
Enumeration Date | 2005-05-24 |
Last Update Date | 2014-02-19 |