| NPI | 1306342852 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: WA MD.MD.70111437) |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: WA MD.MD.70111437) |
| 207X00000X Orthopaedic Surgery (Licence: DC MD500003157) | |
| Enumeration Date | 2018-04-03 |
| Last Update Date | 2026-08-21 |