| NPI | 1326086505 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: TX F0996) |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: OK 2243) |
| 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: TX F0996) | |
| 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: MI 5101007044) | |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2019-01-02 |