| NPI | 1467698332 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: TX P8333) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MA 254109) |
| 207X00000X Orthopaedic Surgery (Licence: TX P8333) | |
| Enumeration Date | 2008-12-26 |
| Last Update Date | 2014-12-03 |