| NPI | 1093725236 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: FL ME44003)  | 
| Additional Taxonomies | 174400000X Specialist (Licence: FL ME44003)  | 
| Enumeration Date | 2006-08-09 | 
| Last Update Date | 2025-07-02 |