| NPI | 1184651374 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MI 5101006062) |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: MI 5101006062) |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2007-07-08 |