| NPI | 1598977944 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: UT 324956-1204) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MI 5101015712) |
| Enumeration Date | 2007-05-05 |
| Last Update Date | 2023-11-27 |