| NPI | 1376506691 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: LA 14152) |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: LA 14152) |
| Enumeration Date | 2006-04-08 |
| Last Update Date | 2023-03-07 |