| NPI | 1265604599 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: OH 35.090172) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: FL 130958) |
| 207X00000X Orthopaedic Surgery (Licence: OH 35.090172) | |
| 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: FL 130958) | |
| Enumeration Date | 2008-03-27 |
| Last Update Date | 2023-11-03 |