| NPI | 1568730323 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: IA 43983) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IA 43983) |
| 207X00000X Orthopaedic Surgery (Licence: IL 036142338) | |
| 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: IL 036142338) | |
| Enumeration Date | 2011-12-08 |
| Last Update Date | 2022-07-21 |