| NPI | 1164758470 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: MO 2015016399) |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: KS 0535312) |
| Enumeration Date | 2009-10-20 |
| Last Update Date | 2026-04-10 |