| NPI | 1043470685 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: VA 0101275009) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NE 25289) |
| 207X00000X Orthopaedic Surgery (Licence: VA 0101275009) | |
| 207X00000X Orthopaedic Surgery (Licence: MA 274200) | |
| 208D00000X General Practice (Licence: NE 25289) | |
| Enumeration Date | 2008-06-16 |
| Last Update Date | 2023-07-07 |