| NPI | 1144429069 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: WA MD60453928) |
| Additional Taxonomies | 207XX0005X Orthopaedic Surgery Sports Medicine (Licence: WA MD60453928) |
| 208600000X Surgery (Licence: WA ML20009018) | |
| Enumeration Date | 2007-07-11 |
| Last Update Date | 2021-04-27 |