| NPI | 1306072038 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: CT 63484) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NY 274535) |
| 207X00000X Orthopaedic Surgery (Licence: CT 63484) | |
| Enumeration Date | 2009-06-09 |
| Last Update Date | 2021-05-10 |