| NPI | 1114975950 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: TX J4085) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: TX J4085) |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2021-03-01 |