| NPI | 1568452746 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: TX Q8337) |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: MA 153078) |
| Enumeration Date | 2005-10-27 |
| Last Update Date | 2017-03-18 |