| NPI | 1437344660 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: FL ME142965) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: HI MD-17108) |
| 207X00000X Orthopaedic Surgery (Licence: OH 35.096479) | |
| 207X00000X Orthopaedic Surgery (Licence: AZ 49354) | |
| 207X00000X Orthopaedic Surgery (Licence: TX P2320) | |
| Enumeration Date | 2007-09-11 |
| Last Update Date | 2020-02-05 |