| NPI | 1174961155 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: SC 35711) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: SC 35711) |
| 207X00000X Orthopaedic Surgery (Licence: NC 2018-01210) | |
| Enumeration Date | 2013-06-12 |
| Last Update Date | 2021-02-22 |