| NPI | 1205810017 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MA 56849) |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: MA 56849) |
| Enumeration Date | 2005-12-05 |
| Last Update Date | 2020-10-27 |