| NPI | 1134389232 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: AZ 48932) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IN 11014423A) |
| 207X00000X Orthopaedic Surgery (Licence: AZ 48932) | |
| Enumeration Date | 2008-06-11 |
| Last Update Date | 2014-08-05 |