| NPI | 1548680622 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: CT 62312) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CT 62312) |
| 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: CT 62312) | |
| Enumeration Date | 2014-04-16 |
| Last Update Date | 2023-03-27 |