| NPI | 1093041287 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: CT 054982) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: OH 126039) |
| Enumeration Date | 2009-10-23 |
| Last Update Date | 2016-08-12 |