| NPI | 1487663167 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: CO 36891) |
| Additional Taxonomies | 207XX0801X Orthopaedic Surgery Orthopaedic Trauma (Licence: CO 36891) |
| 2086S0129X Surgery Vascular Surgery (Licence: CO 36891) | |
| 2086S0105X Surgery Surgery of the Hand (Licence: CO 36891) | |
| 207X00000X Orthopaedic Surgery (Licence: CO 36891) | |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2015-06-05 |