| NPI | 1588984306 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: CA A140883) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: RI 14894) |
| 207X00000X Orthopaedic Surgery (Licence: RI LP01956) | |
| Enumeration Date | 2010-06-03 |
| Last Update Date | 2022-02-11 |