NPI | 1952808511 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: CT 076631) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CT 076631) |
Enumeration Date | 2018-04-10 |
Last Update Date | 2024-09-12 |