| NPI | 1063654283 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: MT MED-PHYS-LIC-36012) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MT MED-PHYS-LIC-36012) |
| Enumeration Date | 2009-04-02 |
| Last Update Date | 2019-05-20 |