| NPI | 1437168846 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MA 268454) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NH 17729) |
| 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: NH 17729) | |
| 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: MA 268454) | |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2024-11-12 |