NPI | 1700020096 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: PA MD453966) |
Additional Taxonomies | 2082S0105X Plastic Surgery Surgery of the Hand (Licence: PA MD453966) |
207X00000X Orthopaedic Surgery (Licence: PA MD453966) | |
Enumeration Date | 2009-04-30 |
Last Update Date | 2024-06-26 |