| NPI | 1144221433 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: ME MD16250) |
| Additional Taxonomies | 2086S0105X Surgery, Surgery of the Hand (Licence: ME MD16250) |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2021-02-01 |