| NPI | 1366578007 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: NC 2009-00181) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MA L-217511) |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2021-09-23 |