NPI | 1972797124 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: PA MD432690) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: FL ME99855) |
207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: LA MD202687) | |
Enumeration Date | 2007-08-30 |
Last Update Date | 2024-12-16 |