| NPI | 1063077162 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: NV 27607) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: FL ME167383) |
| Enumeration Date | 2019-05-03 |
| Last Update Date | 2025-06-10 |