| NPI | 1255774188 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: WA MD61268977) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CO DR.0072000) |
| 207X00000X Orthopaedic Surgery (Licence: HI MD20630) | |
| 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: CO DR.0072000) | |
| Enumeration Date | 2013-04-10 |
| Last Update Date | 2025-07-22 |