| NPI | 1225008360 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: MD D93663) |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: MN 51213) |
| 207X00000X Orthopaedic Surgery (Licence: VA 0101102773) | |
| Enumeration Date | 2006-01-23 |
| Last Update Date | 2023-07-06 |