| NPI | 1588646129 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: CT 044116) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CT 044116) |
| 2085R0202X Radiology Diagnostic Radiology (Licence: CT 044116) | |
| Enumeration Date | 2005-11-18 |
| Last Update Date | 2011-01-25 |