| NPI | 1164833612 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: PA MD467596) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: PA MT206253) |
| 207X00000X Orthopaedic Surgery (Licence: DE C1-0013633) | |
| Enumeration Date | 2014-05-17 |
| Last Update Date | 2025-04-21 |