| NPI | 1508805912 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: CO 39570) |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: NC 2009-01200) |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2020-06-15 |