| NPI | 1164883096 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0105X Surgery, Surgery of the Hand (Licence: TX T8849) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MO 2021013355) |
| 207X00000X Orthopaedic Surgery (Licence: TX T8849) | |
| 2086S0105X Surgery, Surgery of the Hand (Licence: MO 2021013355) | |
| Enumeration Date | 2016-03-20 |
| Last Update Date | 2022-11-04 |