| NPI | 1174782213 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: LA 54625) |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: CO 54625) |
| Enumeration Date | 2008-06-04 |
| Last Update Date | 2022-12-30 |