| 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 |