| NPI | 1578515532 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: FL ME80486) |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: FL ME80486) |
| 208100000X Physical Medicine & Rehabilitation (Licence: FL ME80486) | |
| 207X00000X Orthopaedic Surgery (Licence: FL ME80486) | |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2022-06-09 |