| NPI | 1306228010 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: CA 178411) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: KY R3811) |
| Enumeration Date | 2015-06-18 |
| Last Update Date | 2023-05-30 |