| NPI | 1265436620 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: CA G36807) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA G36807) |
| Enumeration Date | 2005-06-13 |
| Last Update Date | 2020-06-16 |