| NPI | 1336238153 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: MD d0058635) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: VA 101237518) |
| 207X00000X Orthopaedic Surgery (Licence: DC md035780) | |
| 207X00000X Orthopaedic Surgery (Licence: MD D0058635) | |
| 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: DC md035780) | |
| 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: VA 101237518) | |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2023-01-27 |