| NPI | 1578544169 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: NV 3862) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA G23975) |
| 207X00000X Orthopaedic Surgery (Licence: NV 3862) | |
| Enumeration Date | 2005-11-10 |
| Last Update Date | 2021-12-20 |