| NPI | 1295776730 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MD D38326)  | 
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: MD D38326)  | 
| Enumeration Date | 2006-06-08 | 
| Last Update Date | 2023-04-12 |