| NPI | 1255508131 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: CA 20A8787) |
| Additional Taxonomies | 208600000X Surgery (Licence: CA 20A8787) |
| Enumeration Date | 2008-05-10 |
| Last Update Date | 2021-10-14 |