| NPI | 1356721617 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: TX V6180) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: KY 56652) |
| 207X00000X Orthopaedic Surgery (Licence: TX V6180) | |
| 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: KY 56652) | |
| Enumeration Date | 2015-06-02 |
| Last Update Date | 2025-07-17 |