| NPI | 1366857849 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: SC SC-MD85773) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: GA 6893) |
| 2086S0105X Surgery, Surgery of the Hand (Licence: SC SC-MD85773) | |
| Enumeration Date | 2014-06-24 |
| Last Update Date | 2024-01-31 |