| NPI | 1528162740 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: WA MD00047476) |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: WA MD00047476) |
| 2086S0105X Surgery Surgery of the Hand (Licence: WA MD00047476) | |
| 208600000X Surgery (Licence: WA MD00047476) | |
| Enumeration Date | 2006-09-08 |
| Last Update Date | 2012-05-15 |