| NPI | 1154379642 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: AZ 24106) |
| Additional Taxonomies | 174400000X Specialist (Licence: AZ 24106) |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2014-11-14 |