| NPI | 1053368464 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: NC 9900384) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NC 99-00384) |
| Enumeration Date | 2006-05-30 |
| Last Update Date | 2020-07-13 |