| NPI | 1023308384 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: TX Q0349) | 
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CO DR.0062268) | 
| 207X00000X Orthopaedic Surgery (Licence: TX Q0349) | |
| 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: CO DR.0062268) | |
| Enumeration Date | 2011-04-07 | 
| Last Update Date | 2019-08-13 |