NPI | 1710163886 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: FL ME103749) |
Additional Taxonomies | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: FL ME103749) |
207X00000X Orthopaedic Surgery (Licence: IL 036-114982) | |
207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: MA 235365) | |
Enumeration Date | 2008-01-18 |
Last Update Date | 2024-07-26 |