| NPI | 1265708242 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: MD D0084925) |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: DE C1-0012539) |
| Enumeration Date | 2012-03-23 |
| Last Update Date | 2019-04-02 |