| NPI | 1588751150 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CT 32760) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CT 032760) |
| 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: CT 32760) | |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2021-07-24 |