| NPI | 1164715827 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: OH 35.128803) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: OH 35128803) |
| Enumeration Date | 2011-05-27 |
| Last Update Date | 2021-05-28 |