| NPI | 1073728788 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NC 2008-00178) |
| Additional Taxonomies | 2086S0105X Surgery, Surgery of the Hand (Licence: NC 2008-00178) |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2021-05-06 |