| NPI | 1619045820 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NC 2007-01267) |
| Additional Taxonomies | 2086S0105X Surgery Surgery of the Hand (Licence: NC 200701267) |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2023-05-23 |