| NPI | 1407850225 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MN 63419) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: ND 9161) |
| 2086S0105X Surgery, Surgery of the Hand (Licence: ND 9161) | |
| 2086S0105X Surgery, Surgery of the Hand (Licence: MN 63419) | |
| 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: MN 63419) | |
| Enumeration Date | 2005-06-09 |
| Last Update Date | 2024-10-30 |