| NPI | 1306886163 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: CT 028945) |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: CT 028945) |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2019-06-12 |