| NPI | 1265752877 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: WI 63834-20) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: TX BP10037401) |
| 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: WI 63834-20) | |
| Enumeration Date | 2010-06-04 |
| Last Update Date | 2016-08-03 |