| NPI | 1164564860 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: UT 2869891205) |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: MD D0064980) |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2012-07-06 |