| NPI | 1144286022 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: FL ME69382) |
| Additional Taxonomies | 174400000X Specialist (Licence: FL ME69382) |
| Enumeration Date | 2006-04-21 |
| Last Update Date | 2021-03-31 |