| NPI | 1487038303 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (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 | 2025-11-10 |