NPI | 1962428763 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NC 2019-01869) |
Additional Taxonomies | 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: NC 2019-01869) |
207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: NC 2019-01869) | |
Enumeration Date | 2006-07-14 |
Last Update Date | 2024-07-15 |