| NPI | 1376849877 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: GA 074286) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: GA 074286) |
| 207X00000X Orthopaedic Surgery (Licence: OH 57.016594) | |
| Enumeration Date | 2011-01-31 |
| Last Update Date | 2019-10-24 |