| NPI | 1407175839 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: NC 2015-01173) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NC 201501173) |
| Enumeration Date | 2010-05-25 |
| Last Update Date | 2021-05-11 |