| NPI | 1366450306 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: FL ME40448) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: FL ME40448) |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2010-10-04 |