| NPI | 1093814642 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: WA MD00027264) |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: OR MD19018) |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2007-07-08 |