| NPI | 1275572307 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: TX q1618) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: ID M7344) |
| 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: ID M7344) | |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2015-12-04 |