| NPI | 1487628236 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: LA MD08860R) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: TN MD0000026904) |
| 207X00000X Orthopaedic Surgery (Licence: LA MD08860R) | |
| Enumeration Date | 2006-02-16 |
| Last Update Date | 2021-10-26 |