| NPI | 1013993195 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: SD 7703) |
| Additional Taxonomies | 174400000X Specialist (Licence: SD 7703) |
| 207X00000X Orthopaedic Surgery (Licence: SD 7703) | |
| Enumeration Date | 2005-12-20 |
| Last Update Date | 2020-05-07 |