| NPI | 1609960764 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: MS 07704) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MS 07704) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2019-01-16 |