NPI | 1780003954 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: CO DR.0064543) |
Additional Taxonomies | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: UT 11275382-1205) |
207X00000X Orthopaedic Surgery (Licence: UT 11275382-1205) | |
Enumeration Date | 2014-04-15 |
Last Update Date | 2020-08-31 |