| NPI | 1366781585 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: VA 0101256752) |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: WA MD61076173) |
| Enumeration Date | 2013-02-07 |
| Last Update Date | 2024-01-19 |