| NPI | 1598999013 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: VA 0101256932) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: VA 0116021562) |
| 207X00000X Orthopaedic Surgery (Licence: PA MD457100) | |
| Enumeration Date | 2009-05-12 |
| Last Update Date | 2021-02-24 |