| NPI | 1093164428 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: NC 2026-01615) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: RI MD17602) |
| 207X00000X Orthopaedic Surgery (Licence: IL 125.068748) | |
| 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: MO 2022038653) | |
| 207X00000X Orthopaedic Surgery (Licence: NC 2026-01615) | |
| 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: SC MD93062) | |
| Enumeration Date | 2016-06-07 |
| Last Update Date | 2026-05-13 |