| NPI | 1396001590 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: SC 85736) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: SC 85736) |
| 207X00000X Orthopaedic Surgery (Licence: GA 79410) | |
| 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: GA 79410) | |
| Enumeration Date | 2012-04-02 |
| Last Update Date | 2022-04-20 |