| NPI | 1407903297 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: TX Q2953) |
| Additional Taxonomies | 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: TN 43894) |
| 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: TX Q2953) | |
| 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: TN MD43894) | |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2016-03-25 |