| NPI | 1215431762 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: LA 339588) |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: LA 339588) |
| Enumeration Date | 2018-03-20 |
| Last Update Date | 2026-04-16 |