NPI | 1851577308 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: TX N7323) |
Additional Taxonomies | 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: TX N7323) |
Enumeration Date | 2008-01-15 |
Last Update Date | 2025-08-15 |