| NPI | 1134383979 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: TX Q3055) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA A87353) |
| 207X00000X Orthopaedic Surgery (Licence: TX Q3055) | |
| Enumeration Date | 2008-07-10 |
| Last Update Date | 2016-05-09 |