| NPI | 1265413637 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CO 29876) |
| Additional Taxonomies | 2086S0105X Surgery, Surgery of the Hand (Licence: CO DR.0029876) |
| Enumeration Date | 2005-11-10 |
| Last Update Date | 2015-06-09 |