| NPI | 1467959270 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: OR MD219232) |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: UT 13323083-1205) |
| Enumeration Date | 2018-04-09 |
| Last Update Date | 2025-09-26 |