NPI | 1851503544 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: CO DR.0051822) |
Additional Taxonomies | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: TX N8660) |
207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: IL 036.142192) | |
Enumeration Date | 2007-05-04 |
Last Update Date | 2021-01-22 |