| NPI | 1609371558 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: VA 0101267742) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: VA 0101267742) |
| Enumeration Date | 2018-03-23 |
| Last Update Date | 2025-07-15 |