| NPI | 1619065265 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: OH 34.004457) |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: OH 34004457) |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2011-10-14 |