| NPI | 1144297813 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: WA MD00031083) |
| Additional Taxonomies | 174400000X Specialist (Licence: WA MD00031083) |
| Enumeration Date | 2006-03-02 |
| Last Update Date | 2008-03-12 |