| NPI | 1235399460 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NC 2011-00346) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: GA 060933) |
| 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: NC 2011-00346) | |
| Enumeration Date | 2008-06-11 |
| Last Update Date | 2019-12-02 |