| NPI | 1104825454 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: NV 7901) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NV 7901) |
| Enumeration Date | 2005-07-19 |
| Last Update Date | 2016-05-03 |