| NPI | 1629059738 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: VT 042-0011868) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CT 21597) |
| 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: CT 21597) | |
| Enumeration Date | 2005-11-07 |
| Last Update Date | 2013-02-25 |