NPI | 1750415527 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: PA MD427065) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NJ 25MA08447300) |
207X00000X Orthopaedic Surgery (Licence: PA MD427065) | |
207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: NJ 25MA084473000) | |
Enumeration Date | 2007-03-15 |
Last Update Date | 2020-06-29 |