| NPI | 1104829993 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NC 200500273) |
| Additional Taxonomies | 2086S0105X Surgery, Surgery of the Hand (Licence: NC 200500273) |
| Enumeration Date | 2005-05-24 |
| Last Update Date | 2021-05-06 |