| NPI | 1336370527 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: TX N1615) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: TX N1615) |
| Enumeration Date | 2009-08-05 |
| Last Update Date | 2019-06-10 |