| NPI | 1003819335 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: NM MD2016-0750) |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: TX K4152) |
| Enumeration Date | 2005-05-31 |
| Last Update Date | 2023-08-31 |