| NPI | 1033326020 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: UT 10858427-1204) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: WA OP60232831) |
| 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: WA OP60232831) | |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2022-10-05 |