| NPI | 1508061144 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: SD 8787) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MN 50867) |
| Enumeration Date | 2007-06-15 |
| Last Update Date | 2016-01-06 |