NPI | 1902300189 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: AZ 73174) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: AZ 73174) |
Enumeration Date | 2018-03-21 |
Last Update Date | 2024-06-06 |