| NPI | 1457315749 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: MI 4301097335) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MI 4301097335) |
| 207X00000X Orthopaedic Surgery (Licence: OH 35081546L) | |
| Enumeration Date | 2006-04-13 |
| Last Update Date | 2019-11-27 |