| NPI | 1003105032 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: CA A149934) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MD 9445) |
| 207X00000X Orthopaedic Surgery (Licence: RI MD15416) | |
| Enumeration Date | 2011-03-30 |
| Last Update Date | 2020-12-10 |