| NPI | 1487910345 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: VA 0101266891) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: DC MD047266) |
| 207X00000X Orthopaedic Surgery (Licence: VA 0101266891) | |
| 207XP3100X Orthopaedic Surgery Pediatric Orthopaedic Surgery (Licence: DC MD047266) | |
| 207XP3100X Orthopaedic Surgery Pediatric Orthopaedic Surgery (Licence: VA 0101266891) | |
| 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: DC MD047266) | |
| Enumeration Date | 2012-04-05 |
| Last Update Date | 2023-11-27 |