| NPI | 1265475354 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: GA 38591)  | 
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: AL MD.18041)  | 
| 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: AL MD.18041)  | |
| 2086S0105X Surgery, Surgery of the Hand (Licence: AL MD.18041)  | |
| 2086S0105X Surgery, Surgery of the Hand (Licence: GA 038591)  | |
| Enumeration Date | 2006-06-14 | 
| Last Update Date | 2020-11-20 |