| NPI | 1578706610 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: MN 55385) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: UT 8315950-1205) |
| Enumeration Date | 2009-04-17 |
| Last Update Date | 2018-10-23 |