| NPI | 1043255623 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: WA MD29818) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: WA MD29818) |
| Enumeration Date | 2006-06-18 |
| Last Update Date | 2020-10-14 |