| NPI | 1427048073 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: TN 0000041587) |
| Additional Taxonomies | 207XX0005X Orthopaedic Surgery Sports Medicine (Licence: TN 0000041587) |
| Enumeration Date | 2005-10-25 |
| Last Update Date | 2012-11-07 |