| NPI | 1114932845 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: TX L4499) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX L4499) |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2025-12-01 |