| NPI | 1114129236 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: FL ME113787) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: PA MD443548) |
| 207X00000X Orthopaedic Surgery (Licence: FL ME113787) | |
| 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: PA MD443548) | |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2024-07-16 |