| NPI | 1558623934 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: OK 29364) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: OK 29364) |
| 207X00000X Orthopaedic Surgery (Licence: PA MT212690) | |
| 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: PA MT212690) | |
| Enumeration Date | 2012-06-12 |
| Last Update Date | 2019-07-02 |