| NPI | 1407829476 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: SC 30490) |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: GA 052639) |
| 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: NC 9701164) | |
| 207X00000X Orthopaedic Surgery (Licence: SC 30490) | |
| Enumeration Date | 2006-02-09 |
| Last Update Date | 2023-10-13 |