| NPI | 1093136913 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CA a177362) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: UT 12229872-1205) |
| 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: UT 12229872-1205) | |
| Enumeration Date | 2013-12-18 |
| Last Update Date | 2025-08-04 |