| NPI | 1295719805 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MD D0061306) |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: MD D0661306) |
| 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: MD D0061306) | |
| 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: MD D0061306) | |
| Enumeration Date | 2005-12-06 |
| Last Update Date | 2016-03-08 |