| NPI | 1346620085 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: KY 56331) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NC 2022-01133) |
| Enumeration Date | 2015-06-08 |
| Last Update Date | 2025-07-29 |