| NPI | 1083688931 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: OR MD205645) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: VA 0101-237955) |
| 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: VA 0101237955) | |
| Enumeration Date | 2006-02-16 |
| Last Update Date | 2021-08-13 |