| NPI | 1063413425 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: PA MD054299L) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: PA MD054299L) |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2021-07-14 |