| NPI | 1467654509 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: AZ 74311) |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: TX TEMP) |
| 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: MT 131664) | |
| 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: SD 11276) | |
| 208600000X Surgery (Licence: AZ 74311) | |
| 208600000X Surgery (Licence: PA MT180545) | |
| 2086S0105X Surgery Surgery of the Hand (Licence: AZ 74311) | |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2024-10-31 |