| NPI | 1184627820 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: VA 0101242939) |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: TN 39392) |
| Enumeration Date | 2005-05-26 |
| Last Update Date | 2023-04-04 |