| NPI | 1194968321 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: CT 54353) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CT 54353) |
| 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: MA 258300) | |
| Enumeration Date | 2009-04-17 |
| Last Update Date | 2023-05-03 |