| NPI | 1366608218 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: WV 2638) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: WV 2638) |
| Enumeration Date | 2008-07-31 |
| Last Update Date | 2021-01-12 |