| NPI | 1104182708 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: FL ME135526) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: FL ME135526) |
| 207X00000X Orthopaedic Surgery (Licence: GA 81295) | |
| 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: GA 81295) | |
| Enumeration Date | 2012-04-09 |
| Last Update Date | 2021-11-24 |