| NPI | 1205832896 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: MN 40724) |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: WI 45423) |
| Enumeration Date | 2005-06-28 |
| Last Update Date | 2015-06-30 |