| NPI | 1013178052 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: VA 0101257592) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NC 2013-01076) |
| 207X00000X Orthopaedic Surgery (Licence: PA MD449712) | |
| 207X00000X Orthopaedic Surgery (Licence: NY 271489) | |
| Enumeration Date | 2008-06-23 |
| Last Update Date | 2023-12-27 |