NPI | 1740250406 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: MA 159107) |
Additional Taxonomies | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: NH 12046) |
Enumeration Date | 2006-01-25 |
Last Update Date | 2015-02-13 |