| NPI | 1376603969 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: LA 206436) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: PA MT189029) |
| 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: PA MD437856) | |
| 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: SC 35089) | |
| 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: TN MD0000046969) | |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2023-12-01 |