| NPI | 1467540534 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: NC 2015-00739) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NC 2015-00739) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2019-02-05 |