| NPI | 1336315803 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: MD D69115) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MA 235422) |
| 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: MA 235422) | |
| 207X00000X Orthopaedic Surgery (Licence: MD D69115) | |
| Enumeration Date | 2008-05-05 |
| Last Update Date | 2018-04-16 |