| NPI | 1093710816 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: TX K6157) |
| Additional Taxonomies | 2086S0105X Surgery, Surgery of the Hand (Licence: TX K6157) |
| 207X00000X Orthopaedic Surgery (Licence: TX K6157) | |
| Enumeration Date | 2005-06-17 |
| Last Update Date | 2022-10-31 |