| NPI | 1033435045 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: UT 13126379-1205) |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: WA MD61602511) |
| 207X00000X Orthopaedic Surgery (Licence: WA MD61602511) | |
| Enumeration Date | 2010-04-15 |
| Last Update Date | 2026-06-18 |