NPI | 1669852489 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CA 20A15309) |
Additional Taxonomies | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: KY 04718) |
Enumeration Date | 2015-06-06 |
Last Update Date | 2020-03-30 |