| NPI | 1538112982 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: VT 0600002836) |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: VT 42-0011428) |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2016-03-21 |