| NPI | 1104994524 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: VA 0101041861) |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: MD D0037844) |
| 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: DC MD038591) | |
| 207X00000X Orthopaedic Surgery (Licence: VA 0101041861) | |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2014-07-31 |