| NPI | 1629074158 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: ID M-14885) |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: ID M-14885) |
| Enumeration Date | 2005-06-21 |
| Last Update Date | 2022-02-25 |