| NPI | 1225241003 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: CO 51021) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MN 54419) |
| 207X00000X Orthopaedic Surgery (Licence: IL 125-051105) | |
| 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: MN 105502) | |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2023-01-17 |