| NPI | 1174886790 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: AZ 55473) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: AZ 55473) |
| Enumeration Date | 2012-06-19 |
| Last Update Date | 2024-05-23 |