| NPI | 1295730802 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: OR MD18258) |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: HI MD15003) |
| 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: WA MD00029203) | |
| Enumeration Date | 2005-06-20 |
| Last Update Date | 2021-11-06 |