| NPI | 1609142157 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: MI 4301114233) |
| Additional Taxonomies | 2086S0105X Surgery, Surgery of the Hand (Licence: MI 4301114223) |
| Enumeration Date | 2012-03-29 |
| Last Update Date | 2018-09-13 |