| NPI | 1114920519 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NC 2004-00228) |
| Additional Taxonomies | 2086S0105X Surgery, Surgery of the Hand (Licence: NC 2004-00228) |
| Enumeration Date | 2005-05-31 |
| Last Update Date | 2022-01-28 |