| NPI | 1245673938 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: AR E12412) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: AR E12412) |
| 2086S0105X Surgery, Surgery of the Hand (Licence: AR E12412) | |
| Enumeration Date | 2013-04-11 |
| Last Update Date | 2020-10-19 |