| NPI | 1528163862 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: WI 49715) |
| Additional Taxonomies | 208600000X Surgery (Licence: WI 49715) |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2024-02-16 |