NPI | 1972573590 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: TX G8014) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: TX G8014) |
Enumeration Date | 2006-01-25 |
Last Update Date | 2024-10-30 |