| NPI | 1205851946 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: LA 07687R) |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: LA MD.07687R) |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2021-04-08 |