| NPI | 1568586550 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: TX R0730) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: OH 35085318) |
| 207X00000X Orthopaedic Surgery (Licence: TX R0730) | |
| Enumeration Date | 2007-03-17 |
| Last Update Date | 2018-01-19 |