| NPI | 1134186836 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: WV 18023) |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: WV 18023) |
| Enumeration Date | 2006-04-27 |
| Last Update Date | 2012-10-22 |