| NPI | 1568752392 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: PA MD457056) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NC 172802) |
| Enumeration Date | 2011-04-13 |
| Last Update Date | 2016-03-28 |