| NPI | 1215924055 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: WA MD00029511) |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: FL ME107499) |
| 207X00000X Orthopaedic Surgery (Licence: WA MD00029511) | |
| Enumeration Date | 2005-10-05 |
| Last Update Date | 2013-01-29 |