| NPI | 1487002770 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NC 202201401) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IA R-10537) |
| 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: NC 202201401) | |
| Enumeration Date | 2016-05-27 |
| Last Update Date | 2022-08-29 |