NPI | 1982863007 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: PA MD449383) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: PA MD449383) |
207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: PA MD449383) | |
Enumeration Date | 2008-06-04 |
Last Update Date | 2023-12-20 |