| NPI | 1528285210 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: GA 068424) |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: TX N8032) |
| 207X00000X Orthopaedic Surgery (Licence: AL DO.939) | |
| 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: GA 068424) | |
| 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: AL DO.939) | |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2016-03-22 |