| NPI | 1477878288 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086S0105X Surgery, Surgery of the Hand (Licence: MI 4301109292) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MI 4301109292) |
| Enumeration Date | 2010-04-05 |
| Last Update Date | 2017-01-12 |