| NPI | 1538155429 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: MD D38560) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MD D0038560) |
| Enumeration Date | 2005-09-26 |
| Last Update Date | 2020-09-25 |