| NPI | 1538146147 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: NC 96-00222) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NC 9600222) |
| Enumeration Date | 2005-12-23 |
| Last Update Date | 2020-08-20 |