| NPI | 1114003837 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: WA MD00026314) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: WA MD00026314) |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2021-01-27 |