| NPI | 1073943239 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: NV 19135) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NV 19135) |
| Enumeration Date | 2013-11-25 |
| Last Update Date | 2021-12-20 |