| NPI | 1174733802 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: CA A107394) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MI 4301083428) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2020-02-17 |