| NPI | 1548797772 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: UT 12965142-1205) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: AZ R76177) |
| Enumeration Date | 2017-05-18 |
| Last Update Date | 2023-07-13 |