| NPI | 1114451275 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: CO DR.0073601) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MA 1015050) |
| 207X00000X Orthopaedic Surgery (Licence: CO DR.0073601) | |
| 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: NY 316815) | |
| Enumeration Date | 2017-04-16 |
| Last Update Date | 2024-07-26 |