| NPI | 1427015825 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: KY 26628) |
| Additional Taxonomies | 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: KY 26628) |
| 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: KY 26628) | |
| Enumeration Date | 2006-04-28 |
| Last Update Date | 2024-06-05 |