NPI | 1659365930 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: KY 38243) |
Additional Taxonomies | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: IN 01060101A) |
Enumeration Date | 2005-09-01 |
Last Update Date | 2023-11-21 |