| NPI | 1285658187 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: OR MD11549) | 
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: OR MD11549) | 
| Enumeration Date | 2006-07-26 | 
| Last Update Date | 2023-06-07 |