NPI | 1871751008 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: FL ME 99659) |
Additional Taxonomies | 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: FL ME99659) |
207X00000X Orthopaedic Surgery (Licence: NY 243903) | |
Enumeration Date | 2008-05-23 |
Last Update Date | 2010-09-27 |