| NPI | 1487038303 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0105X Surgery, Surgery of the Hand (Licence: VA 0101271588) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: VA 0101271588) |
| 207X00000X Orthopaedic Surgery (Licence: RI MD17099) | |
| 207X00000X Orthopaedic Surgery (Licence: GA 7547) | |
| Enumeration Date | 2015-07-10 |
| Last Update Date | 2023-10-17 |