| NPI | 1629069885 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: ID M-8506) |
| Additional Taxonomies | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: ID M8506) |
| Enumeration Date | 2005-11-04 |
| Last Update Date | 2021-03-01 |