| NPI | 1073504320 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: CA A88661) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA A88661) |
| 207X00000X Orthopaedic Surgery (Licence: IN 01064795A) | |
| Enumeration Date | 2005-11-03 |
| Last Update Date | 2018-10-10 |