| NPI | 1306285978 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: GA 99969)  | 
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: SC 35752)  | 
| 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: SC 35752)  | |
| Enumeration Date | 2013-06-17 | 
| Last Update Date | 2024-07-09 |