| NPI | 1073697272 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: OH 35.138820) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: VA 0101242269) |
| 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: NC 2014-00394) | |
| 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: VA 0101242269) | |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2023-06-27 |