| NPI | 1417214172 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: MD D0102398) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: PA MD463270) |
| 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: PA MD463270) | |
| Enumeration Date | 2012-04-19 |
| Last Update Date | 2025-05-16 |