| NPI | 1396765517 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: MD D78368) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: TX J9102) |
| 207X00000X Orthopaedic Surgery (Licence: PA MD438236) | |
| 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: TX J9102) | |
| 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: PA MD438236) | |
| 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: PA MD438236) | |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2022-03-09 |