| NPI | 1548223365 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0105X Surgery Surgery of the Hand (Licence: CO 46405) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CO 46405) |
| Enumeration Date | 2006-04-11 |
| Last Update Date | 2021-06-16 |