| NPI | 1053687673 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: CO DR.0069434) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: OH 35.131959) |
| 207X00000X Orthopaedic Surgery (Licence: PA MD453137) | |
| 207X00000X Orthopaedic Surgery (Licence: PA MT202054) | |
| 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: LA 35.131959) | |
| 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: MS 30502) | |
| Enumeration Date | 2012-03-28 |
| Last Update Date | 2023-12-18 |