| NPI | 1083710073 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: WA MD00040852) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: OR MD25533) |
| 207X00000X Orthopaedic Surgery (Licence: WA MD00040852) | |
| 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: OR MD25533) | |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2010-08-31 |