| NPI | 1366448466 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: CA G85911) |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: WA MD60660956) |
| 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: OK 24229) | |
| Enumeration Date | 2005-06-23 |
| Last Update Date | 2018-08-30 |