| NPI | 1245205228 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: WA MD00024397) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: WA MD00023497) |
| Enumeration Date | 2006-02-22 |
| Last Update Date | 2014-04-07 |