| NPI | 1275643322 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CT 41663) |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: PA MD419529) |
| 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: CT 041663) | |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2025-06-10 |