| NPI | 1508950759 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: OH 35.047599) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: OH 35047599) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2021-06-01 |