| NPI | 1336408590 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: WV 27744) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: WV 27744) |
| Enumeration Date | 2012-05-09 |
| Last Update Date | 2021-04-13 |