| NPI | 1174889885 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: AL MD.33079) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: AL MD.33079) |
| 207X00000X Orthopaedic Surgery (Licence: TN 55669) | |
| 207X00000X Orthopaedic Surgery (Licence: MS 25156) | |
| Enumeration Date | 2012-04-06 |
| Last Update Date | 2018-05-17 |