| NPI | 1427391010 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: VT 042.0014678) |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: MA 282611) |
| Enumeration Date | 2013-04-01 |
| Last Update Date | 2020-08-07 |