| NPI | 1154687861 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: SC 52178) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: FL ME130691) |
| 207X00000X Orthopaedic Surgery (Licence: SC 52178) | |
| Enumeration Date | 2012-04-06 |
| Last Update Date | 2022-01-13 |