| NPI | 1538359757 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: MN 55547) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MN 55547) |
| 208600000X Surgery (Licence: WA ML20008871) | |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2020-12-02 |