| NPI | 1356699151 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0105X Surgery Surgery of the Hand (Licence: NC 2022-00968) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NC 2022-00968) |
| 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: NC 2022-00968) | |
| Enumeration Date | 2012-08-28 |
| Last Update Date | 2024-06-11 |