| NPI | 1114121613 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: TX Q7667) | 
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: TX Q7667) | 
| Enumeration Date | 2007-06-11 | 
| Last Update Date | 2016-06-03 |