| NPI | 1548331358 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0105X Surgery, Surgery of the Hand (Licence: UT 370569-1205) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: UT 3705691205) |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2026-06-15 |