| NPI | 1578826061 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: KY 51718) |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: KY TP791) |
| 207X00000X Orthopaedic Surgery (Licence: IL 125.061306) | |
| 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: KY 51718) | |
| Enumeration Date | 2012-06-19 |
| Last Update Date | 2026-03-17 |