| NPI | 1023089299 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: VA 0102201627) |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: MT 147558) |
| Enumeration Date | 2006-01-27 |
| Last Update Date | 2024-12-18 |