| NPI | 1477713998 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: TX S6106) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CT 54568) |
| 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: TX s6106) | |
| 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: NY 280802) | |
| 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: CT 54568) | |
| 208600000X Surgery (Licence: MA L-236355) | |
| Enumeration Date | 2008-06-10 |
| Last Update Date | 2023-01-17 |