| NPI | 1508271099 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: MI 5101021394) |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: ND 23080) |
| Enumeration Date | 2014-06-24 |
| Last Update Date | 2026-01-02 |