| NPI | 1104141993 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0105X Surgery, Surgery of the Hand (Licence: CA A118689) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA pending) |
| Enumeration Date | 2010-04-05 |
| Last Update Date | 2018-05-11 |