NPI | 1841344678 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: GA 054457) |
Additional Taxonomies | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: ND 18872) |
Enumeration Date | 2007-01-22 |
Last Update Date | 2023-04-11 |