| NPI | 1447485750 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: DC MD043111) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: VA 0101258006) |
| 207X00000X Orthopaedic Surgery (Licence: MD D0079582) | |
| 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: DC MD043111) | |
| 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: VA 0101258006) | |
| 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: MD D0079582) | |
| Enumeration Date | 2009-05-16 |
| Last Update Date | 2023-01-09 |