| NPI | 1619958022 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: WI 22872) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: WI 22872) |
| Enumeration Date | 2005-11-11 |
| Last Update Date | 2007-10-23 |