| NPI | 1386743284 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NC 2025-02517) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA G80508) |
| 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: PA MD465661) | |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2025-08-05 |