| NPI | 1093816894 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: OH 34.008961) |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: MD H0063928) |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2012-03-16 |