| NPI | 1356326169 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: AZ 48056) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: DC 33925) |
| 207X00000X Orthopaedic Surgery (Licence: AZ 48056) | |
| Enumeration Date | 2005-12-14 |
| Last Update Date | 2014-04-23 |