| 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 |