| NPI | 1083096168 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: HI 19084) |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: VA 0101278704) |
| 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: SD 14399) | |
| Enumeration Date | 2015-06-24 |
| Last Update Date | 2023-07-13 |