| NPI | 1255310421 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2086S0105X Surgery, Surgery of the Hand (Licence: MN 44072) | 
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MN 44072) | 
| Enumeration Date | 2006-01-16 | 
| Last Update Date | 2020-08-20 |