| NPI | 1275844573 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: PA MD461204) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: RI 14238) |
| 207X00000X Orthopaedic Surgery (Licence: TX BP1 0030785) | |
| 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: PA MD461204) | |
| 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: NH 16661) | |
| Enumeration Date | 2010-07-01 |
| Last Update Date | 2020-09-09 |