| NPI | 1346630670 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: NH 24290) |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: ME MD27105) |
| Enumeration Date | 2015-01-26 |
| Last Update Date | 2025-04-15 |