| NPI | 1326029612 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MA 30047) |
| Additional Taxonomies | 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: MA 30047) |
| Enumeration Date | 2005-11-14 |
| Last Update Date | 2012-07-20 |