| NPI | 1548435977 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: NC 2012-00518) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA a115463) |
| 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: FL me 116342) | |
| Enumeration Date | 2008-04-27 |
| Last Update Date | 2023-12-06 |