| NPI | 1548462179 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: GA 94330) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: PA MD425209) |
| 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: GA 94330) | |
| 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: PA MD425209) | |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2023-04-04 |