NPI | 1679539860 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0105X Surgery, Surgery of the Hand (Licence: MA 39425) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MA 39425) |
207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: MA 39425) | |
Enumeration Date | 2006-04-25 |
Last Update Date | 2022-07-21 |