| NPI | 1376633826 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: OH 35.092493) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: PA MD422463) |
| 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: OH 35.092493) | |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2016-11-02 |