| NPI | 1093338618 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: AL 50973) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: SC 84484) |
| Enumeration Date | 2020-05-19 |
| Last Update Date | 2026-06-08 |