| NPI | 1003462771 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: MO 2022040004) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MI 4351044074) |
| Enumeration Date | 2019-08-17 |
| Last Update Date | 2022-10-20 |