| NPI | 1316163744 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CA A97145) |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: WA MD60133790) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2021-12-01 |