| NPI | 1558357509 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: OH 35.124984) |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: IN 01047902A) |
| 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: TX L6400) | |
| Enumeration Date | 2005-09-26 |
| Last Update Date | 2019-08-28 |