| NPI | 1376749358 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: MN 53330) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MO 2004015118) |
| 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: WA ML 60099408) | |
| Enumeration Date | 2007-06-26 |
| Last Update Date | 2017-04-24 |