| NPI | 1609403146 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0105X Surgery, Surgery of the Hand (Licence: MN 79964) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MA NA) |
| Enumeration Date | 2020-03-25 |
| Last Update Date | 2025-08-05 |