| NPI | 1215965405 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: FL 143787) | 
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: OH 35079068E) | 
| Enumeration Date | 2006-06-28 | 
| Last Update Date | 2025-02-21 |