| NPI | 1255536207 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: PR 17528) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: TX N2503) |
| 207X00000X Orthopaedic Surgery (Licence: PR 17528) | |
| Enumeration Date | 2007-06-19 |
| Last Update Date | 2016-08-23 |