| NPI | 1508132176 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0105X Surgery, Surgery of the Hand (Licence: WA MD60846859) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: WA MD60846859) |
| Enumeration Date | 2012-03-28 |
| Last Update Date | 2018-09-21 |