| NPI | 1336141258 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: NC 9600648) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NC 009600648) |
| Enumeration Date | 2005-08-11 |
| Last Update Date | 2021-09-23 |