| NPI | 1508006388 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: VA 0102204069) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MI 5101017856) |
| Enumeration Date | 2009-03-06 |
| Last Update Date | 2022-02-09 |