| NPI | 1154339620 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MD D0046117) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: VA 0101045738) |
| 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: DE C10005022) | |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2010-08-03 |