| NPI | 1417949108 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: MT MED-PHYS-LIC-9558) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MT 9558) |
| Enumeration Date | 2005-08-18 |
| Last Update Date | 2022-02-22 |