| NPI | 1619970589 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: FL ME64806) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: FL ME64806) |
| 207X00000X Orthopaedic Surgery (Licence: GA 039731) | |
| Enumeration Date | 2005-05-24 |
| Last Update Date | 2014-02-19 |