| NPI | 1598845851 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: MO 2007036884) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: TX M1723) |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2013-03-06 |