| NPI | 1063709673 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: AK 105964) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: AK 105964) |
| 207X00000X Orthopaedic Surgery (Licence: PA MT196779) | |
| Enumeration Date | 2011-07-03 |
| Last Update Date | 2020-10-14 |