NPI | 1730448234 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: AR E-14362) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: TX R5981) |
207X00000X Orthopaedic Surgery (Licence: TX BP10044119) | |
207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: TX R5981) | |
Enumeration Date | 2012-05-04 |
Last Update Date | 2021-07-01 |