| NPI | 1376509539 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: VA 0101242149) |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: CA A97003) |
| 207X00000X Orthopaedic Surgery (Licence: GA 053690) | |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2023-08-09 |