| NPI | 1013266691 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: TX R8317) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: TX R8317) |
| Enumeration Date | 2012-08-29 |
| Last Update Date | 2025-09-05 |